Obesity Review in GCC and New Evaluation Strategy
Purpose: This paper aims to review literature in the area of obesity phenomena and solution for identifying existing research themes and future opportunities to better understand the relationship between factors that affect the obesity and Intervention done and make compassion on what is done globally and in GCC. Approach: This paper reviews articles related to obesity factors in GCC such as behavioural and cultural and its effect on behaviours outcomes. This review attempted to identify the main trends in the literature on obesity focussing on environmental, people’s eating habits and their attitude toward western foods, governance and policies, socio-economic and socio-cultural causes. Findings: Risk factors associated with being overweight or obese are similar in GCC and the rest of the world. However, as the literature indicates that high family income associated with obesity, lack of physical activity and time spent in sedentary activities such as TV watching is significantly associated with an increase in the risk of overweight or obesity in GCC.
Keywords: obesity/overweight, obesity causes, obesity intervention, obesity rate, obesity socio-behavioural/cultural factors, obesity barriers, actions towards obesity framework
 Ahmad, M.S., Ashrafian, H., Alsaleh, M. and Holmes, E., 2015. Role of metabolic phenotyping in understanding obesity and related conditions in Gulf Co-operation Council countries. Clinical Obesity, 5(6), pp.302-311.
 Alhyas, L., McKay, A., Balasanthiran, A. and Majeed, A., 2011. Prevalences of overweight, obesity, hyperglycaemia, hypertension and dyslipidaemia in the Gulf: systematic review. JRSM short reports, 2(7), pp.1-16.
 ALNohair, S., 2014. Obesity in gulf countries. International journal of health sciences, 8(1), p.79.
 Alshaikh, M.K., Filippidis, F.T., Al-Omar, H.A., Rawaf, S., Majeed, A. and Salmasi, A.M., 2017. The ticking time bomb in lifestyle-related diseases among women in the Gulf Cooperation Council countries; review of systematic reviews. BMC public health, 17(1), p.536.
 Banjare JB, Bhalerao S. Obesity associated noncommunicable disease burden. Int J Health Allied Sci 2016;5:81-7.
 Behbehani, K., 2014. Kuwait National Programme for Healthy Living: first 5-year plan (2013- 2017). Medical Principles and Practice, 23(Suppl. 1), pp.32-42.
 Berger, G. and Peerson, A., 2009. Giving young Emirati women a voice: participatory action research on physical activity. Health & place, 15(1), pp.117-124.
 Boodai, S.A., McColl, J.H. and Reilly, J.J., 2014. National Adolescent Treatment Trial for Obesity in Kuwait (NATTO): project design and results of a randomised controlled trial of a good practice approach to the treatment of adolescent obesity in Kuwait. Trials, 15(1), p.234.
 Buckland, N.J., Dalton, M., Stubbs, R.J., Hetherington, M.M., Blundell, J.E. and Finlayson, G., 2015. Associations between nutritional properties of food and consumer perceptions related to weight management. Food quality and preference, 45, pp.18-25.
 Buchwald, H. & Oien, D.M. OBES SURG (2013) 23: 427. https://doi.org/10.1007/s11695-012-0864-0
 Chahine 2013 https://www.khaleejtimes.com/nation/uae-health/non-communicable-diseases-atepidemic- levels-in-gcc [accessed 06/12/17].
 Chomistek, A.K., Chiuve, S.E., Eliassen, A.H., Mukamal, K.J., Willett, W.C. and Rimm, E.B., 2015. Healthy lifestyle in the primordial prevention of cardiovascular disease among young women. Journal of the American College of Cardiology, 65(1), pp.43-51.
 El-Bayoumy, I., Shady, I. and Lotfy, H., 2009. Prevalence of obesity among adolescents (10 to 14 years) in Kuwait. Asia Pacific Journal of Public Health, 21(2), pp.153-159.
 Eldredge, L.K.B., Markham, C.M., Ruiter, R.A., Kok, G., Fernandez, M.E. and Parcel, G.S., 2016. Planning health promotion programs: an intervention mapping approach. John Wiley & Sons.
 Grenon R, Tasca GA, Maxwell H, Balfour L, Proulx G, Bissada H.,2016. Parental bonds and body dissatisfaction in a clinical sample: The mediating roles of attachment anxiety and media internalisation. Body Image; 19:49-56.
 Kilpi, F., Webber, L., Musaigner, A., Aitsi-Selmi, A., Marsh, T., Rtveladze, K., and Brown, M., 2014. Alarming predictions for obesity and non-communicable diseases in the Middle East. Public health nutrition, 17(05), 1078-1086.
 Klautzer L, Becker J, Mattke S.,2014 The curse of wealth - Middle Eastern countries need to address the rapidly rising burden of diabetes. Int J Health Policy Manag Apr 3;2(3):109-14.
 Kumanyika S, Libman K, Garcia A.,2013 Strategic Action to Combat the Obesity Epidemic, UK, pp. 1-48.
 Kuwait Life Sciences Company (KLSC)., 2015.The Twin Pandemic GCC and MENA Obesity & Diabetes Report.
 Mabry, R., Koohsari, M.J., Bull, F., and Owen, N., 2016. A systematic review of physical activity and sedentary behaviour research in the oil-producing countries of the Arabian Peninsula. BMC public health, 16(1), p.1003.
 Mandoura N, Al-Raddadi R, Abdulrashid O, et al. Factors Associated with Consuming Junk Food among Saudi Adults in Jeddah City. Cureus. 2017;9(12):e2008. Published 2017 Dec 31. doi:10.7759/cureus.2008
 Michie, S., Atkins, L. and West, R., 2014. The behaviour change wheel. A guide to designing interventions. 1st ed. Great Britain: Silverback Publishing, pp.1003-1010.
 Musaiger A.,2011. Overweight and Obesity in Eastern Mediterranean Region: Prevalence and Possible Causes. J Obes Published online; September 18.
 Musaiger, A.O., Al-Mannai, M., Tayyem, R., Al-Lalla, O., Ali, E.Y., Kalam, F., Benhamed, M.M., Saghir, S., Halahleh, I., Djoudi, Z. and Chirane, M., 2012. Prevalence of overweight and obesity among adolescents in seven Arab countries: a cross-cultural study. Journal of obesity, 2012.
 Novak, N.L. and Brownell, K.D., 2012. Role of policy and government in the obesity epidemic. Circulation, 126(19), pp.2345-2352.
 Sherif, S. and Sumpio, B.E., 2015. Economic development and diabetes prevalence in MENA countries: Egypt and Saudi Arabia comparison. World journal of diabetes, 6(2), p.304.
 Swinburn, B.A., Sacks, G., Hall, K.D., McPherson, K., Finegood, D.T., Moodie, M.L. and Gortmaker, S.L., 2011. The global obesity pandemic: shaped by global drivers and local environments. The Lancet, 378(9793), pp.804-814.
 Tatangelo, G., McCabe, M., Mellor, D. and Mealey, A., 2016. A systematic review of body dissatisfaction and sociocultural messages related to the body among preschool children. Body image, 18, pp.86-95.
 Weichselbaum, E., Hooper, B., Buttriss, J., Theobald, C., Sgarabottolo, V., Combris, P., Strigler, F., Oberritter, H., Cullen, M., Valero, T. and Ruiz, E., 2013. Behaviour change initiatives to promote a healthy diet and physical activity in European countries. Nutrition Bulletin, 38(1), pp. 85-99.
 Winnick, J. and Porretta, D. eds. 2016. Adapted Physical Education and Sport, 6E. Human Kinetics.
 World Health Organisation Statistics 2010 http://www.who.int/gho/publications/world_health_statistics/ EN_WHS10_Full.pdf [accessed 06/12/17]
 World Health Organisation Statistics 2014.
 World Health Organisation Statistics 2016.
 Zaghloul, S., Al-Hooti, S.N., Al-Hamad, N., Al-Zenki, S., Alomirah, H., Alayan, I., Al-Attar, H., Al-Othman, A., Al-Shami, E., Al-Somaie, M. and Jackson, R.T., 2013. Evidence for nutrition transition in Kuwait: over-consumption of macronutrients and obesity. Public health nutrition, 16(4), pp. 596-607. DOI 10.18502/